About Form 1094-B, Transmittal of Health Coverage Information Returns

Paj sa a pa tradwi nan lang Kreyòl paske pa gen tradiksyon ki disponib pou lemoman nan lang ou chwazi a. Jwenn èd nan lang pa w.

Form 1094-B is the transmittal form that must be filed with the Form 1095-B.

Current revision

Form 1094-B PDF

Instructions for Forms 1094-B and 1095-B (Print version PDF)

Recent developments

None at this time.

Other items you may find useful

All Form 1094-B revisions

Affordable Care Act

Other current products

Related

About Form 8962, Premium Tax Credit

About Form 1095-A, Health Insurance Marketplace Statement

About Form 1095-C, Employer-Provided Health Insurance Offer and Coverage

About Form 1095-B, Health Coverage

Page Last Reviewed or Updated: 29-Apr-2025